Individual
ASHLEY A VICENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 457-3129
Mailing address
4612 ROOSEVELT AVE, SACRAMENTO, CA 95820-4520
(916) 457-3129
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
704491
CA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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